Luque, Tiffany Marie
Luque, Tiffany Marie is an sole proprietor health care provider with primary practice located at 1483 Sw Bougainvillea Ave , Port Saint Lucie FL 34953-7302. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Luque, Tiffany Marie can be contacted via phone (772) 336-6928.Contact Information
Primary practice address
1483 Sw Bougainvillea Ave
Port Saint Lucie FL 34953-7302
Phone: (772) 336-6928
Fax: (772) 336-6929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA9773 | Florida |
Profile Details
| NPI number | 1215114483 |
|---|---|
| LBN Legal business name | Luque, Tiffany Marie |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2008 |
| Last updated | Apr 26th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215114483 | NPPES |
| Florida | MEDICAID | 888776400 |
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